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Oncologist recommendation matters!-Predictors of psycho-oncological service uptake in oncology outpatients

Frey Nascimento, Antje and Tondorf, Theresa and Rothschild, Sacha I. and Koller, Michael T. and Rochlitz, Christoph and Kiss, Alexander and Schaefert, Rainer M. and Meinlschmidt, Gunther P. and Hunziker, Sabina and Gaab, Jens and Zwahlen, Diana. (2018) Oncologist recommendation matters!-Predictors of psycho-oncological service uptake in oncology outpatients. Psycho-Oncology. pp. 1-7.

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Official URL: https://edoc.unibas.ch/67285/

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Abstract

Highly distressed cancer patients often do not use psycho-oncological services (POS). Research on predictors of POS uptake has mainly focused on patient-related variables and less on communication variables, so we examined the link between patient-oncologist communication (ie, talking about psychosocial distress, providing detailed information, and recommending POS) and POS uptake.; We conducted a prospective, observational study in an Oncology Outpatient Clinic in Switzerland. Predictors (ie, patient-related variables and patient's reports of the patient-oncologist communication) were assessed via semistructured interviews, and information on outpatient POS uptake was assessed after 4 months. For statistical analysis, a multivariate logistic regression was performed.; Of 333 participants (mean age 61 years; 55% male; 54% distress thermometer ≥5), 77 (23%) had used POS during a 4-month period. Patients who reported an oncologist-recommended POS (odds ratio [OR] = 6.27, 95% confidence interval [CI] = 3.14-12.85) and those who were not sure if they had received a recommendation (OR = 4.64, 95% CI = 1.83-11.97) were more likely to attend POS than those who reported receiving no recommendation. Talking about psychosocial distress (OR = 0.74, 95% CI = 0.38-1.46) and providing detailed information about POS did not predict POS uptake (OR = 1.06, 95% CI = 0.46-2.38).; Oncologists' expert recommendations to attend POS were strongly associated with patients' uptake of POS. The central role played by oncologists should be accounted for in stepped psycho-oncological care when POS referral pathways are defined.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Psychotherapie (Gaab)
UniBasel Contributors:Frey Nascimento, Antje and Gaab, Jens
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:1057-9249
e-ISSN:1099-1611
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:17 Jan 2019 13:28
Deposited On:17 Jan 2019 13:28

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